Reply to 2 year old hand flagging & jumping on tiptoes

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[quote=Anonymous][quote=Anonymous][quote=Anonymous]OP, I'm unclear why the developmental pediatrician did not do ADOS with a child who has a speech delay, poor eye contact, is hand flapping and walking on toes. One or two of those symptoms possibly ok. But all four is a giant red flag. I think you should insist on the ADOS. And many kids with autism, especially those on the milder end, can certainly stop stimming if told to do so. Also, be aware, that most Drs are on the lookout for boys with autism. Girls often are diagnosed later, because they can present in slightly different ways. [/quote]

Yes, I'm surprised that they didn't do the ADOS or some additional screening for ASD. There is another screening tool for ASD called the M-CHAT which your pediatrician can do (perhaps the Drs at Children's did this one?) Your child could simply have a speech delay, but I would trust your gut on this and try to get additional screening or a second opinion. If the child has ASD, you might want to add ABA or other therapies now. [/quote]

OP here. The reason we went to see developmental pediatrician at children's hospital because my DD failed M-CHAT at 18 months checkup. Her pediatrician told me that she did not think my DD has autism based on her experience & observation, but since my DD failed M-CHAT, it is just better for preventive screening to schedule one at children's hospital. It was a long waiting time for us to get an appointment & finally meet developmental pediatrician at children's. The developmental pediatrician was aware of our concerns for possibly autism & adhd for our LO.

During the 2 hours appointment, he plays with her with a lot of different types of toys, and also some role-play stuffs. We answer a lot of questions & also tell the doctor about our concerns & things. He says that my DD loves to interact/social with people, has eye contact, but just not consistent, so we need to work on that. My DD is not ADHD based on his observation, and he is certain about it. My DD only did hand flapping & jumping on tip toe for a couple seconds during the 2 hour appointment, and it was because she was so excited with the toy the doctor was holding. The doctor saw that behavior & said that as long as any repetitive behaviors is not excessive, it is not a check mark for autism for her age. He was not concerned at all. The doctor told me that a lot of time, speech delays and autism have a lot of similarities, and he think that my DD situation is more like speech delay situation.

My DD perform really well during the whole appointment. As a result, my DD's pediatrician & developmental pediatrician are not concerned for autism & adhd on my DD at this moment. I don't know what ADOS is, the doctor didn't mention about it during the appointment. Sorry, so I assume he did not do it then, but we will have another appointment 6 months later for follow up to check on mainly her speech & eye contact. [/quote]

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